CHURCHILL COUNCIL ON ALCOHOL AND OTHER DRUGS (NPI# 1346788411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346788411 |
| Entity Type | Organization |
| Organization Name | CHURCHILL COUNCIL ON ALCOHOL AND OTHER DRUGS |
| Other Organization Name | NEW FRONTIER |
| Practice Address |
1490 Grimes St Fallon NV 89406-3103 |
| Mailing Address |
Po Box 1240 Fallon NV 89407-1240 |
| Practice Telephone | 7754231412 |
| Practice Fax Number | 7754234054 |
| Mailing Telephone | 7754231412 |
| Mailing Fax Number | 7754234054 |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |
| Authorized Official Name | LANA ROBARDS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7754231412 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 5489 ADA-6 | NV | Agencies |
| Other Name | Type Code |
|---|---|
| New Frontier | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578764361 | Churchill Council On Alcohol and Other Drugs | Substance Abuse Rehabilitation Facility | 1490 Grimes St, Fallon, NV 89406-3103 | 2007-05-30 |
| Street Address |
1490 GRIMES ST |
| City | FALLON |
| State | NV |
| Zip Code | 89406-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912097932 | Sheri Suzanne Alexandar | Social Worker | 1490 Grimes St, Fallon, NV 89406-3103 | 2006-10-13 |
| 1215577788 | Alana Kirsten Rogne | Registered Nurse | 1490 Grimes St, Fallon, NV 89406-3103 | 2020-01-13 |
| 1770139875 | Elizabeth Sabo | Counselor | 1490 Grimes St, Fallon, NV 89406-3103 | 2019-08-14 |
| 1275187494 | Vicki Jones | Counselor | 1490 Grimes St, Fallon, NV 89406-3103 | 2019-07-25 |
| 1285287292 | Brittany Ann Frew | Counselor | 1490 Grimes St, Fallon, NV 89406-3103 | 2019-07-18 |
| 1952954067 | Monty Williams | Counselor | 1490 Grimes St, Fallon, NV 89406-3103 | 2019-07-17 |
| 1639566904 | Jordan Tucker | Technician, Other | 1490 Grimes St, Fallon, NV 89406-3103 | 2015-04-23 |
| 1710374087 | Olivia Difrank | Technician, Other | 1490 Grimes St, Fallon, NV 89406-3103 | 2015-04-23 |
| 1174910442 | Kassidy Montgomery | Technician, Other | 1490 Grimes St, Fallon, NV 89406-3103 | 2015-04-23 |
| 1154717031 | Valerie Pacheco | Technician, Other | 1490 Grimes St, Fallon, NV 89406-3103 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073167961 | Banner Churchill Community Hospital | Durable Medical Equipment & Medical Supplies | 801 N. Williams Ave Suite 22017, 2208, 3301, 3309, Fallon, NV 89406 | 2019-07-29 |
| 1982173936 | Deborah Honeyestewa | Counselor | 1001 Rio Vista Drive, Fallon, NV 89406 | 2018-11-20 |
| 1528545779 | Be Empowered Health and Wellness LLC | Assistant Behavior Analyst | 1060 Roberta Ct., Fallon, NV 89406 | 2018-07-20 |
| 1609372325 | Penni Rae Loveland | Community Health Worker | 393 Calloway Court #4, Fallon, NV 89406 | 2018-04-02 |
| 1205274842 | Sharon Lee Amelung | Counselor | 270 S Maine St., Suite 8, Fallon, NV 89406 | 2013-06-05 |
| 1295045565 | Mary Ann Dunn | Dental Hygienist | 1001 Rio Vista Dr., C/o Fthc - Dental, Fallon, NV 89406 | 2010-10-20 |
| 1952578759 | Compassionate In-home Care LLC | Home Health | 37 Whitaker Lane, Fallon, NV 89406 | 2008-05-12 |
| 1326244757 | Cary Jaques | Dentist | 300 West A Street, Fallon, NV 89406 | 2007-06-22 |
| 1356542450 | New River Surgical Arts LLC | Clinic/Center | 1120 New River Parkway, Suite 100, Fallon, NV 89406 | 2007-05-29 |
| 1093927824 | Total Renal Care Inc | Clinic/Center | 1103 New River Parkway, Fallon, NV 89406 | 2007-05-04 |
| Find all providers in zip 89406 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407210941 | Sage Health Services, LLC | Community/Behavioral Health | 40 E Center St Ste 6, Fallon, NV 89406-3469 | 2016-04-11 |
| 1063805760 | Michelle Diedrichsen | Community/Behavioral Health | 295 E Park St, Fallon, NV 89406-3417 | 2015-03-05 |
| 1598157331 | Amanda Lister | Community/Behavioral Health | 445 S Allen St, Fallon, NV 89406-3739 | 2015-03-03 |
| 1720470925 | Justine Enochs | Community/Behavioral Health | 1866 Albert St, Fallon, NV 89406-5205 | 2015-02-24 |
| 1457742223 | Michael Lagrone | Community/Behavioral Health | 566 Douglas St, Fallon, NV 89406-3907 | 2015-02-13 |
| 1104214170 | Lisa Favstritsky | Community/Behavioral Health | 40 E Center St Ste 12, Fallon, NV 89406-3474 | 2014-12-29 |
| 1386174860 | Fallon Family Wellness Center | Community/Behavioral Health | 330 Cindy Ln, Fallon, NV 89406-3250 | 2017-06-15 |
| 1235513631 | Sp Counseling Center, LLC | Community/Behavioral Health | 40 E Center St, Unit #12, Fallon, NV 89406-3475 | 2015-07-15 |
| 1932590866 | Solomon's Porch | Community/Behavioral Health | 40 E Center St, Ste 12, Fallon, NV 89406-3475 | 2015-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821698556 | Therapy of Southern Nevada | Community/Behavioral Health | 4100 W Flamingo Rd Ste 1442, Las Vegas, NV 89103-3924 | 2020-10-30 |
| 1881294932 | Jahir Treyvont Anderson | Community/Behavioral Health | 2163 Denevi Dr, Sparks, NV 89434-3457 | 2020-10-28 |
| 1114527355 | Nevada Behavioral Services | Community/Behavioral Health | 2880 E Flamingo Rd Ste G, Las Vegas, NV 89121-5223 | 2020-10-27 |
| 1043819006 | Battle Born Wellness, LLC | Community/Behavioral Health | 3732 Lakeside Dr Ste 202, Reno, NV 89509-5278 | 2020-10-21 |
| 1164020947 | Pathways Health Services | Community/Behavioral Health | 5813 Michael Dean St, North Las Vegas, NV 89081-4422 | 2020-10-13 |
| 1386241131 | Shawn Humphreys | Community/Behavioral Health | 3110 W Cheyenne Ave Ste 100, North Las Vegas, NV 89032-2254 | 2020-10-05 |
| 1538766670 | Positivity Counseling Center | Community/Behavioral Health | 3488 Alghero Ave, Henderson, NV 89044-1795 | 2020-10-01 |
| 1013514165 | Grateful Guidance Center | Community/Behavioral Health | 1838 Giant Rock Pl, North Las Vegas, NV 89031-1671 | 2020-10-01 |
| 1295341733 | P Saint Roc LLC | Community/Behavioral Health | 1700 Alta Dr Apt 2124, Las Vegas, NV 89106-4174 | 2020-09-21 |
| 1609482181 | Kristie Leialoha Dias | Community/Behavioral Health | 9986 Catseye Cove Ct, Las Vegas, NV 89183-7203 | 2020-09-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.